Active NPIIndividual providerSole proprietor

Shawn T Klenk, ATC

Specialist/Technologist, Athletic Trainer in Somerdale, New Jersey

NPI Number1598890295
Practice location
102 Rex RD., Somerdale, NJ 08083
Fax
—
Last updated
July 8, 2007

Shawn Thomas Klenk is a Specialist/Technologist, Athletic Trainer based in Somerdale, NJ. Shawn Thomas Klenk practices in Somerdale, NJ and has the professional credentials of ATC. The NPI Number for Shawn Thomas Klenk is 1598890295 and holds a License No. 25mt00066800 (NJ). The current practice location address for Shawn Thomas Klenk is 102 Rex RD., Somerdale, NJ 08083 and can be reached out via phone at 856-309-9292.

Provider Profile Details

NPI Number
1598890295
Provider Name
Shawn Thomas Klenk
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
102 Rex RD., Somerdale, NJ 08083
Phone Number
856-309-9292
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Rex RD.
Somerdale, NJ 08083
Zip
08083
Phone Number
856-309-9292
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
102 Rex RD.
Somerdale, NJ 08083
City
Somerdale
State
NJ
Zip
08083
Phone Number
856-309-9292

License Information

License Number
25mt00066800
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shawn T Klenk, ATC?

The NPI number of Shawn T Klenk, ATC is 1598890295. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Shawn T Klenk, ATC?

Shawn T Klenk, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25mt00066800.

Where does Shawn T Klenk, ATC practice?

The practice location is 102 Rex RD., Somerdale, NJ 08083. The office can be reached at 856-309-9292 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598890295 directly on the NPPES registry website.

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